Nataliya Nhukova, MD MSc, Clinical Research Fellow, Division of Hematology/Oncology, The Arthur and Sonia Labatt Brain Tumour Research Centre, The Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

A previously healthy 12-year-old boy presented to the emergency department with an approximately 1-month history of headaches, typically in the first half of the day, and new onset of nausea and vomiting in the last 5 days. On examination, the boy had moderate papilledema; otherwise, his physical and neurological examination was remarkable except for the presence of multiple (>6) irregular shaped café-au-lait macules. An MRI revealed a right parieto-temporal mass. Take the quiz.

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